Individual provider Active NPI

John Cece, MD

  • Plastic Surgery Physician
  • Montclair, NJ
National Provider Identifier
1699201145
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA11521100 Issued in NJ
Practice address
37 N Fullerton Ave Ste 1
Montclair, NJ 07042-3446
Phone
(973) 233-1933
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 25MA11521100 NY
Plastic Surgery Physician 208200000X 25MA11521100 NJ Primary

Addresses

Primary practice location

37 N Fullerton Ave Ste 1
Montclair, NJ 07042-3446

Mailing address

37 N Fullerton Ave Ste 1
Montclair, NJ 07042-3446
Phone (973) 233-1933

Other practice location 1

140 Bergen St
Ambulatory Care Center E1620
Newark, NJ 07103-2425
Phone (973) 972-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923001933 NJ Practitioner - Plastic and Reconstructive Surgery 3870034424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
May accept Medicare assignment
Group practices
The Plastic Surgery Group PAGroup PAC ID 2668417668, 3 clinicians

Practice addresses (Care Compare)

37 N Fullerton Ave
Montclair, NJ 07042-3426
Phone (973) 233-1933

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11521100NYMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Plastic Surgery Group PA Plastic Surgery CurrentSince Aug 1, 2024 Accepting new patients
North Fullerton Surgery Center, LLC Past Accepting new patients

Locations

37 N Fullerton Ave
Ste 1
Montclair, NJ 07042
Phone (973) 233-1933

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1699201145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N FULLERTON AVE STE 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423446",
            "telephone_number": "973-233-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 N FULLERTON AVE STE 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423446",
            "telephone_number": "973-233-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Bergen St",
            "address_2": "Ambulatory Care Center E1620",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032425",
            "country_code": "US",
            "telephone_number": "973-972-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CECE",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "25MA11521100",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA11521100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.